| Samantha Mace Gothberg, | |
|
360 Eby Creek Road, Eagle, CO 81631 | |
| (970) 306-4673 | |
| Not Available |
| Full Name | Samantha Mace Gothberg |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 360 Eby Creek Road, Eagle, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831866847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC.0017147 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Mace Gothberg, Po Box 2127, Eagle, CO 81631-2127 Ph: () - | Samantha Mace Gothberg, 360 Eby Creek Road, Eagle, CO 81631 Ph: (970) 306-4673 |
Lori Jane Cuno, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard Street, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Joan C Sego, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Eby Creek Rd, Eagle, CO 81631 Phone: 970-306-4673 | |
Julia D Kozusko, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard Street, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Joycetta Mary Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard St, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-358-6329 | |
Alison Casey Harakal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Howard St, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Dawn Allison Nichols, Counselor Medicare: Medicare Enrolled Practice Location: 137 Howard, Eagle, CO 81631 Phone: 970-328-6969 Fax: 970-328-6329 | |
Ms. Allison J Goldsmith, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Eby Creek Rd, Eagle, CO 81631 Phone: 970-306-4673 |